ORIGI\AL
SENDER: COMPLETE THIS SECTION
∎ Complete items 1, 2, and 3. Also complete
item 4 If Restricted Delivery Is desired .
I ∎ Print your name and address on the reverse
so that we can return the card to you
.
∎ Attach this card to the back of the mailplece,
I
or on the front if space permits
.
1. AnlcleAddressed to
:
5/18/06 B .M .
I PCB 2006-169 & PCB 2006-1
Patick Harms
26596 E. 1000 North Road
Forrest, IL 61741
l
COMPLETE THIS SECTION ON DELIVERY
A. Signature
B. Rece ved
y (Pri led
Name)
D. Is delivery address different from Item I7
it YES, enter delivery address below :
ce Type
rtlfled Mall
O
Express Mail
Registered
0 Return Receipt for Merchandise
O
Insured Mail
O
C.O.D.
4. Restricted
Delivery?
(&Pa
Feel
RECEIVED
CLERK'S
OFFICE
MAY 3 0 2006
STATE OF ILLINOIS
Pollution Control Board
0 Yes
2. Article Number
(Transfer from service kW
7005 1160 0002 2067 9361
j PS Form
3811,
February 2004
Domestic Return Receipt
102595-02-M-1540